HomeMy WebLinkAbout2014_07_17 Form 410 Initial - Emily Lo Statement of Organization Date Stamp A
Recipient Committee '
0 * A I
Statement Type Initial El Amendment El Termination—See Part 5 EForOfffif'iciial Use Only
Not yet qualified X or List I.D.number: List I.D.number:
# # JUL 17 2014
Date qualified as committee Date qualified as committee Date of Termination
(If applicable)
...............
NAME OFCOMMITTEENAME OF TREASURER
Re-d'o ct-C-;�/ elfrlt'-14" OARADA
STREET ADDRESS(NO P.O.BOX) V STREET ADDRESS(NO P.O.BOX)
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CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
5A,6,47V67/
MAILING ADDRESS F DIFFERENT) NAME OF ASSISTANT TREAIURER,IF ANY
at Xfp?p
FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX)
(?
COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
I have used all reasonable diligence preparing thisstatement and to the best of my knowledge the formatioion contained he ein is truend comp e. cer y un er
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on By
DA E SIGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on ?Z—/ By 0-6de-
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410(Dec/2012)
FPPC Advice:adviceWppic.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee _
M 410
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D.NUMBER
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
C4
Controlled
_.
• List the name of each controlling officeholder,candidate,or state measure proponent. If candidate or officeholder controlled,also list the elective office sought or held,and
district number,if any,and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check"nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUUD7LgIG1 E DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
\ s ell-t'f"�-'t Nonpartisan
l..v /
❑ Nonpartisan
Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
❑ ❑
Surn OPPOSE
FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
u
Statement of Organization CALIFORNIA
Recipient Committee _
M 410
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
I.D.NUMBER
General •• Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
•• List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STR EET ADDR ESS NO.AND STREET CITY
STATE ZIP CODE
Small • • •r Committee ❑
Date qualified
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts,loans received,and other obligations;
• This committee has no surplus funds;and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
-- Leftover funds of ballot measure committees may be used for political,legislative or governmental purposes under Government Code Sections 89511-89518,and are.
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov